USMLE-Rx Step 1 Qmax Challenge #3866

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Check out today’s Step 1 Qmax Question Challenge.

Know the answer? Post it below! Don’t forget to check back for an update with the correct answer and explanation (we’ll post it in the comments section below).

USMLE-Rx Step 1 Qmax Challenge #3866A 17-year-old girl presents with 4 months of fatigue, night sweats, constant low-grade fever, and a 9.1-kg (20-lb) unintentional weight loss. A large mass is palpable in the left upper quadrant, 8 cm below the costal margin. It is suspected that an infiltrative process led to organomegaly, and the organ is scheduled to be surgically removed. Results of a lymph node biopsy are shown in the image.

What preventative treatment should be considered prior to surgery in this patient?

A. Intravenous vancomycin daily
B. Oral acyclovir daily
C. Oral metronidazole daily
D. Vaccination for influenza A and B
E. Vaccinations against pneumococcus and Haemophilus influenzae

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Want to know the ‘bottom line?’ Purchase a USMLE-Rx Subscription and get many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.

This practice question is an actual question from the USMLE-Rx Step 1 test bank. For more USMLE Step 1 prep, subscribe to our Flash Facts and Step 1 Express video series. Score the best deal on all three products with a Step 1 Triple Play Bundle.

Achieving Happiness While Studying for the Boards

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By Mark Ard

“Don’t aim at success—the more you aim at it and make it a target, the more you are going to miss it. For success, like happiness, cannot be pursued; it must ensue…as the unintended side-effect of one’s personal dedication to a course greater than oneself.”
– Vicktor Frankl, Man’s Search for Meaning

In the bestselling book “Flow: The Psychology of Optimal Experience” author Mihaly Csikszentmihalyi’s takes on the very difficult topic of happiness and what conditions put people into the state of “flow” that only seems achievable to world-class extreme athletes (think about the Red Bull Wingsuit). Below are six conditions to achieving this state of eudaemonia and how you can get there yourself while studying for boards. I also highly recommend the book for people who need an answer to “what books have you read recently?”

1. Intense and focused concentration on the present moment. One of the most difficult aspects of medical school is getting into “study mood” for a sustained period of time. You need to be ruthless in your demand for presence. The easiest way is to have a dedicated study location. You can even have a few, one for solo-studying and one for group-studying. When you feel yourself fading, get out of that place, physically. Your study place is no place for day-dreaming. You will tell your patients the same thing for insomnia as “in-study-a.” Think about it. You tell patients to try to sleep, but if they can’t, get out of bed and go do something else. Bed is only for sleep…and sex. (more…)

USMLE-Rx Step 1 Qmax Challenge #3865

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Check out today’s Step 1 Qmax Question Challenge.

Know the answer? Post it below! Don’t forget to check back for an update with the correct answer and explanation (we’ll post it in the comments section below).

USMLE-Rx Step 1 Qmax Challenge #3865A 9-year-old boy with massive swelling of his right mandible is seen during a medical relief mission. He has lost a significant amount of weight over the past 2 months. In addition he has night sweats requiring a change in his bedclothes. He has no cough, murmur, or change in bowel habits. A biopsy of the spleen is taken, and results are shown in the image.

What translocation is likely present in the malignant cells shown in the image?

A. t(8;14)
B. t(9;22)
C. t(11;14)
D. t(14;18)
E. t(15;17)

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Want to know the ‘bottom line?’ Purchase a USMLE-Rx Subscription and get many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.

This practice question is an actual question from the USMLE-Rx Step 1 test bank. For more USMLE Step 1 prep, subscribe to our Flash Facts and Step 1 Express video series. Score the best deal on all three products with a Step 1 Triple Play Bundle.

Put the power of USMLE-Rx Step 1 Qmax on your iPhone!

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The First Aid Team and USMLE-Rx are excited to announce the long-awaited release of Step 1 Qmax for iOS!

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On-the-go access to 2,300+ high yield Step 1 questions

Images and explanations integrated with First Aid for the USMLE Step 1

All your tests sync to the cloud for immediate access on any computer

Quiz yourself in multiple test modes with different question types

Get detailed performance stats by organ system and discipline

Review, annotate, and/or delete completed tests

The only app created and approved by First Aid authors.

iPhone qmax

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*Requires a valid USMLE-Rx Step 1 Qmax subscription.

Med School Abroad: The Early Years Matter

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By Edison Cano

Med School Abroad - The Early Years MatterTwo days after finishing my last year of medicine, the so-called internship in my country, I boarded a flight to the United States to start an observership. I wondered over and over again, what am I supposed to do there? I had heard the “rumors” about the dreaded Steps, the thorny Match, review courses, and resources, but all I knew was that I fiercely wanted a residency in the US.

Once I started my rotation and got involved in US medical education, stumbling and rolling with some good luck, I learned on the go what I needed to get a residency. No surprise, this is what happens to most IMGs who attempt to get a residency in the US. But the phrase I hear consistently is: I wish I started earlier. Here is some advice for those in the early years of med school abroad interested in a US residency.

Always ask for advice. Keep in touch with people who made it into residency or are some steps ahead. Any advice can give you a different perspective on your quest. A friend shared advice he got from one of his mentors: never hesitate to ask for advice or help, whoever made it this far never got here alone, there are always grateful people willing to pass on their knowledge. (more…)

USMLE-Rx Step 1 Qmax Challenge #3862

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Check out today’s Step 1 Qmax Question Challenge.

Know the answer? Post it below! Don’t forget to check back for an update with the correct answer and explanation (we’ll post it in the comments section below).

USMLE-Rx Step 1 Qmax Challenge #3862A 67-year-old former landscaper is referred to the dermatologist for a lesion on his right forearm. The lesion is a flesh-colored pearly papule approximately 1.5 cm in diameter with a central telangiectasia. A biopsy is taken, and the results are shown in the image.

Which of the following is the most likely diagnosis?

A. Actinic keratosis
B. Basal cell carcinoma
C. Dermatitis herpetiformis
D. Melanoma
E. Seborrheic keratosis
F. Squamous cell carcinoma

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Want to know the ‘bottom line?’ Purchase a USMLE-Rx Subscription and get many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.

This practice question is an actual question from the USMLE-Rx Step 1 test bank. For more USMLE Step 1 prep, subscribe to our Flash Facts and Step 1 Express video series. Score the best deal on all three products with a Step 1 Triple Play Bundle.

Baby Say What? Understanding Developmental Milestones

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By Joe Savarese

Baby Say WhatPersonally, I don’t have children. Considering my hectic schedule, that is probably a larger benefit for my future children than it is for me. However, this puts me at a distinct disadvantage in understanding what is considered normal in a baby’s development.

Developmental milestones always seem intuitive on paper, which makes them difficult to commit to memory. Ranges of what is considered normal makes diagnosing a developmental delay even more difficult. I am going to make this ridiculously easy for you and myself. In the clinic setting, scales such as the Early Language Milestone (ELM) scale-2 can be useful in evaluation of speech delays (click here for more).

Remember everything in 3’s.
3 months – Cooing
6 months – Babbling
9 months – Jargoning (more…)

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